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NICHOLAS M FULLER LMHC
NPI 1811413149
Counselor - Mental Health in Indianapolis, IN

Active since August 18, 2017PECOS EnrolledAccepts Medicare Assignment
8320 MADISON AVE, INDIANAPOLIS, IN 46227(317) 882-5122(317) 888-8642 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

About Nicholas M Fuller Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS M FULLER LMHC (NPI 1811413149) is an individual mental health provider in Indianapolis, Indiana and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811413149
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS M FULLERCredential: LMHC
Location Address8320 MADISON AVEIndianapolis, IN 46227-6066
Mailing Address8320 Madison AveIndianapolis, IN 46227-6066 · (317) 882-5122 · Fax (317) 888-8642
Phone(317) 882-5122
Fax(317) 888-8642
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1811413149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8320 MADISON AVE, Indianapolis, IN 46227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas M Fuller Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648623108
PECOS Enrollment IDI20240131003086
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult And Child Mental Health Center Inc
Same address
Community/Behavioral Health
8320 MADISON AVE
Indianapolis, IN 46227
  • Reassigned Medicare billing, Indiana enrollment
  • 142 clinicians in this Medicare group
NPI 1083432272 (317) 882-5122
Concordia Counseling: A Lutheran Outreach Ministry, Inc.
49 mi
Mental Health (Including Community Mental Health Center)
504 N WALNUT ST
Seymour, IN 47274
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1568150068 (812) 671-8704

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MICHELLE FRADY RN
Registered Nurse
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 882-5122
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 881-7061
TANYA M THOMAS LSW
Social Worker
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 882-5122
CRYSTAL WHITIS
Social Worker (Clinical)
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 882-5122
KARMIN MF KOELMEL LCSW
Social Worker (Clinical)
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 882-5122
DUSTIN SCHWYN MSW
Social Worker (Clinical)
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 882-8122
JANE PAULEY COMMUNITY HEALTH CENTER
Nurse Practitioner (Primary Care)
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 381-5252
GRACE E FOSTER LCSW
Social Worker (Clinical)
8320 MADISON AVE
INDIANAPOLIS, IN 46227
Marion County (317) 882-5122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Fuller's NPI number?

The NPI number for Nicholas Fuller is 1811413149. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Nicholas Fuller located?

Nicholas Fuller practices at 8320 Madison Ave, Indianapolis, IN 46227. The listed phone number is (317) 882-5122.

What is Nicholas Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicholas Fuller enrolled in Medicare?

Yes. Nicholas Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Fuller reassigns Medicare benefits to 2 organizations: Adult And Child Mental Health Center Inc (Indianapolis, IN) and Concordia Counseling: A Lutheran Outreach Ministry, Inc. (Seymour, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Fuller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Nicholas Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Fuller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.